EP2928539A4 - Steuerbarer führungsdraht und verfahren zur verwendung - Google Patents

Steuerbarer führungsdraht und verfahren zur verwendung

Info

Publication number
EP2928539A4
EP2928539A4 EP13861154.6A EP13861154A EP2928539A4 EP 2928539 A4 EP2928539 A4 EP 2928539A4 EP 13861154 A EP13861154 A EP 13861154A EP 2928539 A4 EP2928539 A4 EP 2928539A4
Authority
EP
European Patent Office
Prior art keywords
guide wire
orientable guide
orientable
wire
guide
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP13861154.6A
Other languages
English (en)
French (fr)
Other versions
EP2928539B1 (de
EP2928539A1 (de
Inventor
Jay A Lenker
Scott Louis Pool
Eugene M Breznock
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Indian Wells Medical Inc
Original Assignee
Indian Wells Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US13/750,689 external-priority patent/US8961550B2/en
Application filed by Indian Wells Medical Inc filed Critical Indian Wells Medical Inc
Publication of EP2928539A1 publication Critical patent/EP2928539A1/de
Publication of EP2928539A4 publication Critical patent/EP2928539A4/de
Application granted granted Critical
Publication of EP2928539B1 publication Critical patent/EP2928539B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M25/09016—Guide wires with mandrils
    • A61M25/09025—Guide wires with mandrils with sliding mandrils
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32053—Punch like cutting instruments, e.g. using a cylindrical or oval knife
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3478—Endoscopic needles, e.g. for infusion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • A61B17/3496—Protecting sleeves or inner probes; Retractable tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M25/09041—Mechanisms for insertion of guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00243—Type of minimally invasive operation cardiac
    • A61B2017/00247—Making holes in the wall of the heart, e.g. laser Myocardial revascularization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00309—Cut-outs or slits
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00318—Steering mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09116—Design of handles or shafts or gripping surfaces thereof for manipulating guide wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M2025/09175—Guide wires having specific characteristics at the distal tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A61M25/0662—Guide tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires
    • A61M25/09016—Guide wires with mandrils
    • A61M25/09033—Guide wires with mandrils with fixed mandrils, e.g. mandrils fixed to tip; Tensionable wires
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00—Dilators with or without means for introducing media, e.g. remedies

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pathology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
EP13861154.6A 2012-12-06 2013-12-05 Steuerbarer führungsdraht Active EP2928539B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201261734297P 2012-12-06 2012-12-06
US13/750,689 US8961550B2 (en) 2012-04-17 2013-01-25 Steerable endoluminal punch
PCT/US2013/073262 WO2014089273A1 (en) 2012-12-06 2013-12-05 Steerable guidewire and method of use

Publications (3)

Publication Number Publication Date
EP2928539A1 EP2928539A1 (de) 2015-10-14
EP2928539A4 true EP2928539A4 (de) 2016-07-27
EP2928539B1 EP2928539B1 (de) 2019-11-27

Family

ID=50883982

Family Applications (1)

Application Number Title Priority Date Filing Date
EP13861154.6A Active EP2928539B1 (de) 2012-12-06 2013-12-05 Steuerbarer führungsdraht

Country Status (5)

Country Link
US (2) US11317938B2 (de)
EP (1) EP2928539B1 (de)
JP (1) JP6412505B2 (de)
CN (1) CN104968390B (de)
WO (1) WO2014089273A1 (de)

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US12220538B2 (en) 2008-12-08 2025-02-11 Scientia Vascular, Inc. Micro-fabricated intravascular devices having varying diameters
JP6412505B2 (ja) 2012-12-06 2018-10-24 インディアン ウェルズ メディカル インコーポレイテッドＩｎｄｉａｎ Ｗｅｌｌｓ Ｍｅｄｉｃａｌ，Ｉｎｃ． 操縦可能ガイドワイヤおよび使用方法
US9993266B2 (en) 2014-09-13 2018-06-12 Indian Wells Medical, Inc. Steerable endoluminal punch
CA2994368A1 (en) * 2015-08-23 2017-03-02 Microbot Medical Ltd Double concentric guidewire
EP3355779A1 (de) 2015-10-02 2018-08-08 Koninklijke Philips N.V. Nabe zur platzierung einer vorrichtung mit optischem formerfasstem führungsdraht
US10967154B2 (en) 2016-02-22 2021-04-06 Arizona Board Of Regents On Behalf Of Arizona State University Adjustable guidewire
US10786655B2 (en) 2016-03-14 2020-09-29 Indian Wells Medical, Inc. Steerable guidewire and method of use
CN105816208B (zh) * 2016-05-25 2018-08-21 南京微创医学科技股份有限公司 一种安装在内窥镜上的导丝锁
US10821268B2 (en) * 2016-09-14 2020-11-03 Scientia Vascular, Llc Integrated coil vascular devices
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WO2018175743A1 (en) 2017-03-22 2018-09-27 University Of Maryland, Baltimore Device and method for transseptal puncture
CN106937897A (zh) * 2017-04-26 2017-07-11 上海百心安生物技术有限公司 一种可吸收支架的传输系统及制备方法
CN110691626B (zh) 2017-05-26 2022-03-18 血管科学有限责任公司 具有非螺旋切口布置的微制造医疗装置
US10500372B2 (en) 2017-08-02 2019-12-10 Farshad Malekmehr Guidewire
US11040174B2 (en) * 2017-09-19 2021-06-22 Edwards Lifesciences Corporation Multi-direction steerable handles for steering catheters
US11045224B2 (en) 2018-09-24 2021-06-29 University Of Maryland, Baltimore Apparatus and method for septal punch
US12551237B2 (en) 2017-11-01 2026-02-17 University Of Maryland, Baltimore Apparatus and method for septal punch
EP3510914A1 (de) * 2018-01-15 2019-07-17 Koninklijke Philips N.V. Vorrichtung mit biegbarem distalem abschnitt und system zur betätigung des distalen abschnitts der vorrichtung
US11305095B2 (en) 2018-02-22 2022-04-19 Scientia Vascular, Llc Microfabricated catheter having an intermediate preferred bending section
WO2020019307A1 (zh) * 2018-07-27 2020-01-30 尚华 一种记忆金属光纤穿刺针管
WO2020019306A1 (zh) * 2018-07-27 2020-01-30 尚华 一种光纤穿刺针管及其应用
MX2021003353A (es) * 2018-09-24 2021-08-05 Endoways Aparato de cateterismo, cateter, y metodo.
CN109363809B (zh) * 2018-11-21 2021-12-03 辽宁垠艺生物科技股份有限公司 细丝控制类医疗器械的调整装置
US10918366B2 (en) 2018-12-28 2021-02-16 DePuy Synthes Products, Inc. Steerable locking catheter
US12011555B2 (en) 2019-01-15 2024-06-18 Scientia Vascular, Inc. Guidewire with core centering mechanism
CN115916317B (zh) * 2020-04-21 2025-12-26 佐治亚技术研究公司 用于控制同轴对准的机器人可操纵导丝的多自由度弯曲和弯曲长度的系统及方法
CN114683222B (zh) * 2020-12-31 2024-09-24 雷铭科技有限公司 带有手柄的器件
CN117500556A (zh) 2021-05-19 2024-02-02 柯惠有限合伙公司 线材夹持装置
US11648025B1 (en) 2021-07-30 2023-05-16 Indian Wells Medical, Inc. Steerable endoluminal punch with introducer and guidewire
US11786265B1 (en) 2021-07-30 2023-10-17 Indian Wells Medical, Inc. Steerable microcatheter and method of use
US12440287B2 (en) 2021-09-23 2025-10-14 Indian Wells Medical, Inc. Robotically controlled steerable access system and method of use
CN115106600A (zh) * 2021-10-25 2022-09-27 美度可医疗科技(上海)有限公司 一种同轴度高不易扭结的复合导丝及其焊接方法
CN114404780A (zh) * 2022-01-24 2022-04-29 成都维宁生物技术有限公司 无囊防漏留置导尿管及其制造方法和用途
JP2024104874A (ja) * 2023-01-25 2024-08-06 朝日インテック株式会社 ガイドワイヤ
WO2024238737A1 (en) * 2023-05-17 2024-11-21 Edwards Lifesciences Corporation Lead screw driven sheath dilator

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US20110319905A1 (en) * 2010-06-23 2011-12-29 Palme Robert A Multiple function vascular device

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JP6412505B2 (ja) 2012-12-06 2018-10-24 インディアン ウェルズ メディカル インコーポレイテッドＩｎｄｉａｎ Ｗｅｌｌｓ Ｍｅｄｉｃａｌ，Ｉｎｃ． 操縦可能ガイドワイヤおよび使用方法
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Publication number Priority date Publication date Assignee Title
US4757827A (en) * 1987-02-17 1988-07-19 Versaflex Delivery Systems Inc. Steerable guidewire with deflectable tip
WO2008069772A1 (en) * 2006-12-07 2008-06-12 Cordis Corporation Steerable catheter system
US20090036832A1 (en) * 2007-08-03 2009-02-05 Boston Scientific Scimed, Inc. Guidewires and methods for manufacturing guidewires
US20110319905A1 (en) * 2010-06-23 2011-12-29 Palme Robert A Multiple function vascular device

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* Cited by examiner, † Cited by third party
Title
See also references of WO2014089273A1 *

Also Published As

Publication number Publication date
JP2015536226A (ja) 2015-12-21
EP2928539B1 (de) 2019-11-27
CN104968390B (zh) 2019-04-23
US20180317949A1 (en) 2018-11-08
US12251126B2 (en) 2025-03-18
CN104968390A (zh) 2015-10-07
WO2014089273A1 (en) 2014-06-12
JP6412505B2 (ja) 2018-10-24
US20220265301A1 (en) 2022-08-25
US11317938B2 (en) 2022-05-03
EP2928539A1 (de) 2015-10-14

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